Page 492 - Saunders Comprehensive Review For NCLEX-RN

speaking clients.
▪ Use pictures or phrase cards to communicate and assess the non–English-
speaking client’s perception of pain or other feelings.
▪ Provide preoperative and postoperative educational materials in the appropriate
language.

Adapted from Potter P, Perry A, Stockert P, Hall A: Fundamentals of nursing, ed 8, St.
Louis, 2013, Mosby

Box 15-3

Medical Problems That Increase Risk During

Surgery

▪ Bleeding disorders such as thrombocytopenia or hemophilia
▪ Diabetes mellitus

▪ Chronic pain
▪ Heart disease, such as a recent myocardial infarction, dysrhythmia, heart failure,
or peripheral vascular disease

▪ Obstructive sleep apnea
▪ Upper respiratory infection
▪ Liver disease
▪ Fever
▪ Chronic respiratory disease, such as emphysema, bronchitis, or asthma
▪ Immunological disorders, such as leukemia, infection with human
immunodeficiency virus, acquired immunodeficiency syndrome, bone marrow
depression, or use of chemotherapy or immunosuppressive agents
▪ Abuse of street drugs

Adapted from Potter P, Perry A, Stockert P, Hall A: Fundamentals of nursing, ed 8, St.
Louis, 2013, Mosby.

Box 15-4

Substances That Can Affect the Client in Surgery

Antibiotics
Antibiotics potentiate the action of anesthetic agents.

Anticholinergics

Medications with anticholinergic effects increase the potential for confusion,
tachycardia, and intestinal hypotonicity and hypomotility.

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